1. Comparison of cervical vestibular evoked myogenic potential (cVEMP) elicited by custom-built downward narrow band chirp and 500 Hz tone burst stimuli in healthy adults.
- Author
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Abdallatif, Athar Mazen Rasmi, Mohamad, Wan Najibah Wan, Salim, Rosdan, and Zakaria, Mohd Normani
- Subjects
OTOLITH organs ,VESTIBULAR nerve ,EVOKED potentials (Electrophysiology) ,BRAIN stem ,ADULTS - Abstract
The vestibular evoked myogenic potential (VEMP) is commonly used to assess the functionality of otolith organs in clinical settings. Cervical VEMP (cVEMP) is a subtype of VEMP that evaluates the integrity of the saccule and inferior vestibular nerve. Although cVEMP is typically recorded with a 500 Hz tone burst, there is growing interest in exploring cVEMP's diagnostic utility when evaluated using chirp stimuli, originally designed for recording auditory brainstem responses (ABRs). This study aimed to compare the cVEMP responses evoked by custom-built downward narrow band chirp and 500 Hz tone burst stimuli in healthy adults. In this comparative study, 20 healthy adults (40 ears) aged 18 to 59 underwent the cVEMP test based on the recommended test protocol. The results demonstrated that the custom-built chirp stimulus generated significantly shorter P1 and N1 latencies compared to the tone burst stimulus (p < 0.05). Additionally, the custom-built stimulus elicited larger P1 amplitudes, N1 amplitudes, and interamplitudes relative the tone burst stimulus (p < 0.05). These findings imply that the custom-built chirp is more optimal than the conventional 500 Hz stimulus and may serve as an alternative stimulus to elicit cVEMP responses. Further research is needed to explore the diagnostic utility of chirp-evoked VEMP in evaluating individuals with vestibular disorders. [ABSTRACT FROM AUTHOR]
- Published
- 2025
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